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Talking Therapy in Southampton: Finding Support Beyond Techniques

  • Writer: Esther Dietrichsen-Farley
    Esther Dietrichsen-Farley
  • Aug 18
  • 5 min read

Updated: Sep 2

So many people arrive in therapy saying the same thing: “I’ve read the books. I’ve tried the tools. But I still don’t feel any better.” What often makes the difference is not another technique, but the experience of being heard.


Research has shown for decades that healing happens in the context of a safe, trusting bond with a therapist. This is known as the therapeutic relationship - a space where you can speak freely, without performance or judgement, and begin to notice yourself differently.


Even public figures have pointed to this. Adele once said in an interview, “I don’t think I would have got through without talking it out.” For many people looking for talking therapy in Southampton, the surprise is the same. It is not about being given answers, but about what shifts when someone truly listens.


Counselling and psychotherapy are often referred to as “talking therapies”. The term may sound simple, but in practice it describes a depth of work that goes far beyond conversation. At its heart is the therapeutic relationship - a space where lasting change can take root.


Woman waving hello at the camera from her own home, representing the start of an online talking therapy session in Southampton.


Beyond Tools: The Role of the Relationship

There is no doubt that practical tools can help. Cognitive behavioural therapy (CBT), mindfulness, and mental health apps are supported by evidence and can make a real difference, especially in the short term. They can give you something to reach for when anxiety spikes, or a framework for managing patterns of thought that feel overwhelming.


But many people find that even with these tools, something deeper lingers. You might know how to breathe through panic, yet still feel uneasy in your own skin. You might practise positive thinking, but feel strangely disconnected from yourself or others. This is where the therapeutic relationship plays a role that tools cannot.


Carl Rogers, one of the most influential figures in psychotherapy, wrote that “the relationship is the therapy” (Rogers, 1957). Decades of research continue to support this. The British Psychological Society has noted that the quality of the therapeutic alliance is one of the strongest predictors of successful outcomes across all therapy types, more so than the specific model or method used (BPS, 2018).


How Therapy Works, According to Research

It can feel surprising that talking alone could shift something that has felt stuck for years. Yet across decades of research, the evidence has remained consistent: the act of being deeply heard in a safe relationship changes both the mind and the body.


Neuroscientist Dan Siegel describes this through the lens of interpersonal neurobiology - the idea that our brains are shaped by our relationships (Siegel, 2012). When you share your inner world with someone who listens and attunes to you, new neural pathways form. Over time, this helps regulate emotions and build a greater sense of connection with yourself and others.


Polyvagal theory, developed by Stephen Porges, adds another layer. It shows how feeling safe with another person can calm the nervous system, shifting the body out of survival states like fight, flight, or shutdown (Porges, 2011). In therapy, safety is not just an idea. It is a physiological experience that allows healing to take root.


And as Gabor Maté has argued in his work on stress and trauma, much of our suffering comes not only from what happened to us, but from the ways we learned to suppress or silence our emotions (Maté, 2003). Talking therapy gives space for those hidden parts to be acknowledged, reducing the cost of carrying them alone.


What This Looks Like in Therapy

When people first come to therapy, they often bring a mix of hope and doubt. Many say things like, “I already know the tools, I just can’t seem to use them,” or “I don’t even know where to start - I just know something doesn’t feel right.”


In the room, therapy rarely looks like a neat sequence of exercises. Some sessions might feel quiet, with space simply to pause and notice what is happening inside. Others might feel emotional, as long-held feelings finally find words. Over time, the rhythm of talking and being heard begins to loosen what felt tightly held.


Rather than being told what to do, people often describe a sense of discovering themselves. As one meta-analysis by the American Psychological Association noted, the therapeutic alliance is consistently associated with better outcomes across a wide range of difficulties (Horvath et al., 2011). That shift, while subtle, is often what makes lasting change possible.


In my own practice, I often see that it is not about how many strategies someone has tried, but about what changes when they feel able to show up fully, with nothing to prove.


What Private Talking Therapy in Southampton Offers

Talking therapy (or counselling and psychotherapy) at The Farley is not bound by strict session limits or agendas, and it is tailored to the pace and needs of the individual.


Sessions are held weekly and last 50 minutes, either in person or online. They offer a consistent, confidential space where you can begin to untangle what you have been carrying. Therapy is not about performing well or saying the right things. It is about being met in the moment, exactly as you are.


Therapy as a Human Space, Not a Performance

Life often asks us to perform - to keep up appearances at work, to hold things together at home, to show resilience even when it costs us. It can be exhausting. Many people arrive in therapy worried that they will need to “do it right” here too: that they should have clear goals, or know how to explain themselves perfectly.


But therapy is not another stage to perform on. It is one of the few places where you do not have to bring a polished version of yourself. You can come with confusion, hesitation, or silence, and that is still part of the work.


In a person-centred approach, the therapist is not there to hand down instructions. Instead, they provide what Carl Rogers called “the conditions for growth”: empathy, genuineness, and acceptance. The discoveries come from you, in your own time, supported by a relationship that holds steady while you make sense of things.


As Rogers once put it, “When someone really hears you without passing judgement... it feels damn good.” That feeling is not about performance or achievement. It is about being met as a human being.


Conclusion

In a world full of strategies, techniques, and quick fixes, it can feel almost too simple to say that talking still matters. Yet time and again, research and lived experience show that it does. Healing happens in the presence of another person who listens, understands, and holds the space with you.


For those looking for talking therapy in Southampton, this often becomes the turning point. Not necessarily a breakthrough in a single session, but a gradual shift: feeling less alone with what you carry, and more able to reconnect with yourself.


If you are considering therapy, you do not need to have the right words or a clear plan. You only need to bring yourself. From there, the conversation begins.






References

  • British Psychological Society. (2018). The importance of the therapeutic alliance in psychological therapies. BPS.


  • Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48(1), 9–16.


  • Maté, G. (2003). When the Body Says No: Exploring the Stress-Disease Connection. John Wiley & Sons.


  • Porges, S. (2011). The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation. Norton.


  • Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21(2), 95–103.


  • Siegel, D. J. (2012). Pocket Guide to Interpersonal Neurobiology. Norton.



Further Reading

  • Yalom, I. D. (2002). The Gift of Therapy. HarperCollins.


  • Levine, P. A. (1997). Waking the Tiger: Healing Trauma. North Atlantic Books.


 
 

The Farley

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